Kim David Reed, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036073985 Issued in IL

Practice address

300 E Randolph St
Chicago, IL 60601-5014

Phone

(312) 653-5487

NPI assigned

Oct 28, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Care Service Corporation, a Mutual Legal Reserve Company

  • Public Health or Welfare Agency
  • Chicago, IL
  • NPI 1740665348
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1114203643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 CARDIFF RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651247",
            "telephone_number": "312-653-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E RANDOLPH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015014",
            "telephone_number": "312-653-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KIM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036073985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juavana Lynn Reed, LPC
• Kathleen Naliwajko Reed, APN
• Kennedy Jean Reed, PA-C
• Kenya Reed
• Kiante Reed, MHS
• McCall Candice Reed, M.S.
• Miranda Reed
• Nakia L Reed, APRN
• Noah-Christina Reed, LPC
• Patrick Reed

• Emergency Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.